Korean

Experience
1st Visitor training

Dr Ashenafi A Buser
 CONTENTS

Introduction
Components of 1st Visit
Asan Medical Center
S & G Biotech
IICIR
Presbyterian Medical Center
Exciting Korea
 IR in Ethiopia
• Man power
* Training (KSIR, St Paul’s, JHU and
MCM )
- 1st Group – 5 : 3 St Paul’s + 2 MCM
– 2016 (Aug) – 2018 (Aug)

+ 1 Year India Clinical fellowship – 1

person
- 2nd Group – 3 ------------1 finished KSIR
fellowship

Total – 6 radiologists (2 + 2 + 2)
 IR in Ethiopia
• Infrastructure
- Initial (Start Up) : MCM – Korean Hospital – Cathlab
- Process -------- St Paul’s Hospital MMC ------ Angiolab with USG
- Currently: a private hospital - IR Unit with a Cathlab
 IR in Ethiopia
• Procedures
- Initial phase :
Cath lab : TACE, drainage procedures
and USG procedures – FNAC, Biopsies
- Currently : Cathlab – Central lines, Angioplasty,
Angioembolization, Drainages,
Stenting (Non-vascular)
USG and CT guided – Drainages, FNACs & Biopsies
 IR in Ethiopia
St Paul’s Hospital MMC
- revised fellowship training curriculum and initiated MRT masters
program
**Fellowship in Vascular and interventional radiology
and masters in Interventional radiology technology **
----- External attachment: 1-2 months

----Golden Opportunity:
: KSIR + Prof Hwang + Asan Medical Center (Prof Shin)
: three + 1 IR’s, each for 2-3 months Visiting training program
 IR in Ethiopia
• Visiting Training Program:
Purpose
- To get all practicing IR’s (four )near to the same level
: refreshner and update on IR practices
- As an input to expand the IR practice in Ethiopia
(widen the area of practice to various vascular procedures)
- external site assessment and forming link

Program (schedule )
** Three visiting programs at Asan medical center
Dr Ashenafi
Dr Samson
Dr Yared
First Visitor triaining program
Components
- Asan Medical Center
- S & G Biotech
- IICIR Course: Severance Hospital
- PMC Visit
- Conclusion
 First Visitor triaining
program :
Components
- Asan Medical Center : Main training Site (Dec 19, 2022– Feb 4, 2023)
- S & G Biotech: manufacturing of supplies
- IICIR – at Severance Hospital, Seoul
- Presbyterian Medical Center (Jeon Ju)
 First Visitor triaining
program :
• Asan
Fascility : Medical Center
- around 2700 beds multispeciality
Hospital in West, East and New
Building
- IR unit : 8 Cathlabs - 6
Interventional rad & 2 for
Neuroradiology
• Training - Ulsan University and
research center , various desciplines
- Infront of the main Hospital:
Research center & Dormitory
underground connection
 First Visitor triaining
program :
• Asan Medical Center
IR training – a number of experts in various areas of IR
1. Local training:
- attachment for radiology residents and IR fellowship (1 year)
2. International training: not only in IR
- Visitor training : Observation
- Clinical Fellowship training: Saudi Arabia – hands on
 First Visitor triaining
program :
• Asan Medical Center
First Visitor ------ International visitor training
: some Lectures and Observations
- access to all Cathlabs and procedures
- case discussions with at least three
professors:
Prof Shin, Prof Kwon (1/2 day) and Prof
Ko (1 day)
First Visitor triaining
program :
Asan Medical Center
• Some procedures Observed
- Chemoembolization:
* Conventional - Adriamycin based, Cisplatin based
* DEB – TACE
- Radioembolization: Y- 90
- Central lines – PICC line to chemoport
- Angioembolization and lymphatic embolization : PV embolization,
bleeders and leaks
- Sclerotherapy: cysts
- Fistuloplasty
- Angioplasty and stenting – Iliac and Aorta - EVAR
- Transvenous procedures – adrenal vein sampling, TIPSS, PARTO
- Drainages : PTBD,PCD, PCN
- Percutaneous gastrostomy , PTEG
 First Visitor triaining
program :
•
Asan
PARTO Medical Center
 First Visitor triaining
program :
•
Asan
PVE Medical Center
 First Visitor triaining
program :
•
Asan
Ablation Medical Center
 First Visitor triaining
program :
•
Asan
EVAR Medical Center
 First Visitor triaining
program :
• S &production
Profile : Stent G Biotech
& IR
Accessory distribution
• Site visits – 1 day per week starting 4th
week
activities:
Stent production – handmade –
training and practice
Stent Deployment practice
Meetings and ways to work together
on availing IR consumables in
Ethiopia
 First Visitor triaining
program :
• IICIR Course
Course at Severance hospital – 01 week
• Components:
- Revision and update on basics
- Advances in IR practice

Lectures by IR experts in their areas of practice

……. Experience oriented….
 First Visitor triaining
program :
•
•
PMC
Facility: 800 beds Visit
hospital – at Jeon Ju
IR : 2 Cathlabs, Prof Kim, and 2 fellows
• 2 days stay
- Cases were observed
Various procedures plus
*** Bedside tunneled dialysis Catheter
insertion
*** Portal vein stenting
 First Visitor triaining
program :
•
•
Exciting
Electronic lockers
Camera (CCTV) system
Korea
• Seoul Metro
• Exciting visit sites: Historical (palaces,
temples) and spots
• Extreme cold weather
• Hospitality: Professors, Staffs and the
people
 First Visitor triaining
program :
• Conclusion
Appealing experience:
- IR : world class
- Humility & Humbleness – lifetime
- System – hospitals and outside

• Way forward
- HR development (training)
: training of Nurses and Techs upto 1 month at Asan
: training of IR fellows – for 1 -2 months (6weeks) at Asan
Thanks